Louisiana Licensed Utilization Nurse Consultant

Job Summary

A company is looking for a Utilization Management Nurse Consultant for Concurrent Review.

Key Responsibilities

• Perform concurrent clinical reviews of acute admissions using evidence-based criteria
• Collaborate with providers and multidisciplinary teams to coordinate care and advocate for optimal outcomes
• Ensure medical necessity and appropriateness align with regulatory and accreditation standards

Required Qualifications

• Active, unrestricted Louisiana RN license or compact license
• Minimum 3 years of recent clinical experience
• Ability to work 8-5 CST and rotating weekend/holiday coverage
• Bachelor's degree preferred, ASN required
• Experience with diverse, high-risk member populations and interdisciplinary collaboration